Jerry Mark Otoole, PSYD
NPI 1790393650ActiveIndividual· Psychologist· Plainfield, IL
Psychologist (PSYD) with Agor Behavioral Health Services, Inc., practicing in Plainfield, Illinois. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1790393650 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | Yes |
| NPI issued | Jul 16, 2020 |
| Last updated in NPPES | Aug 29, 2024 |
| Certified by provider | Aug 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 071006413 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (IL) |
|---|
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Agor Behavioral Health Services, Inc.Plainfield, IL · 8 clinicians
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